Kawahito K, Adachi H, Ino T, Ide H, Mizuhara A, Yamaguchi A
Department of Cardiovascular Surgery, Omiya Medical Center, Jichi Medical School, Saitama, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Jan;41(1):148-52.
A 77-year-old female was admitted with dysphagia and back pain. Angiography revealed an aberrant origin of the right subclavian artery from the posterior aspect of the proximal descending thoracic aorta just distal to the origin of the left subclavian artery. The origin of the right subclavian artery was aneurysmal (maximum transverse diameter was 8 cm), and this aneurysm was causing compression of the esophagus. The patient was treated by Teflon patch graft aortoplasty and right subclavian artery reconstruction with the aid of cardiopulmonary bypass and hypothermic selective cerebral perfusion. Postoperative course was uneventful and there were no major complications.
一名77岁女性因吞咽困难和背痛入院。血管造影显示右锁骨下动脉起源异常，起自胸降主动脉近端左锁骨下动脉起始部远侧的后方。右锁骨下动脉起始部呈瘤样扩张（最大横径为8厘米），该动脉瘤压迫食管。患者在体外循环和低温选择性脑灌注辅助下接受了聚四氟乙烯补片主动脉成形术及右锁骨下动脉重建术。术后过程顺利，无重大并发症。
